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February 1928


Arch Derm Syphilol. 1928;17(2):261-266. doi:10.1001/archderm.1928.02380080115008

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A Case for Diagnosis (Blastomycosis?). Presented by Dr. Chargin.  J. J., a mechanic, married, aged 67, said that he had had an eruption over the tibia since early childhood, which was markedly pruritic and induced scratching. About thirteen years before presentation, because of marked itching and "lump" formation over the tibiae, the patient had consulted a physician, who had performed a biopsy. The patient did not know the report, but the growth evidently was not a carcinoma. During the past ten weeks the involved area had ulcerated following trauma, and a fungating mass had developed which resembled blastomycosis or bromoderma. A history of ingestion of bromide was not obtainable.

DISCUSSION  Dr. Abramowitz: I believe that the lesion on the right leg resembles blastomycosis more than anything else. As far as the lesion on the left leg is concerned, it is verrucous, and the patient says that he has had an

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